Provider Demographics
NPI:1528194404
Name:CROSBY DRUGS INC
Entity Type:Organization
Organization Name:CROSBY DRUGS INC
Other - Org Name:CROSBY DRUGS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HULENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-774-7420
Mailing Address - Street 1:127 S EAST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-0923
Mailing Address - Country:US
Mailing Address - Phone:334-774-7420
Mailing Address - Fax:334-774-7422
Practice Address - Street 1:127 S EAST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-0923
Practice Address - Country:US
Practice Address - Phone:334-774-7420
Practice Address - Fax:334-774-7422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1129143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5929190001Medicare NSC